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Centers for Medicare & Medicaid Services Competitive Bidding Program: Assessment of Impact on Beneficiary Acquisition of Diabetes-Testing Supplies and Durable Medical Equipment Prosthetics Orthotics and Supplies–Associated Health Outcomes

The Centers for Medicare & Medicaid Services (CMS) manages the Medicare program, which generally pays for durable medical equipment, prosthetics, orthotics, and other medical supplies (DMEPOS) on the basis of fee schedules. … The DMEPOS Competitive Bidding Program (CBP) is CMS’s prescription to remedy the overpayments engendered by fee-schedule reimbursements. … This report reviews the impact of […]

Reassessing the Dental Care Paradigm: A National Minority Quality Forum White Paper

Quality Care Should be Accessible to All: Expanding Access through Innovation and Employing Mid-level Providers in the Medical and Dental Fields In 2007, Maryland’s Medicaid dental-care program came under fire after a Prince George’s County boy died from an untreated tooth infection. An abscess in the 12-year-old boy’s tooth spread to his brain, and six […]

PROPOSED MEDICARE PART B REIMBURSEMENT RATE FOR BIOSIMILARS August 2015

Click here to download ISSUE BRIEF.pdf   INTRODUCTION The Centers for Medicare and Medicaid Services (CMS) is the largest single payor of healthcare in the United States. Nearly 90 million Americans rely on healthcare benefits provided through programs that are administered through Medicare, Medicaid, and the State Children’s Health Insurance Program (SCHIP)[1]. Their programmatic reach […]

Issue Brief: Solutions to Save Urban Hospitals: A Study of the Bayonne Model

Issue Brief: Solutions to Save Urban Hospitals: A Study of the Bayonne Model Utilization of the Bayonne model may help other healthcare provider groups to effectively address the problem of urban hospital closures nationwide.

Issue Brief: Specialty Tiers: Unequal Treatment

Issue Brief 3: Specialty Tiers: Unequal Treatment by Gary A. Puckrein, PhD, and Gretchen C. Wartman Assigning drugs to specialty reimbursement tiers exerts different effects on patient care by design.  

Issue Brief: Low Consumption and Higher Medicare Cost: Consumption Clusters in a Medicare Fee-for-Service Population

Issue Brief 2: Low Consumption and Higher Medicare Cost: Consumption Clusters in a Medicare Fee-for-Service Population by Gary Puckrein, PhD; Sean D. Cleary, PhD, MPH; and Mira Shapiro, MS Analysis suggests that beneficiaries with chronic diseases who are low consumers of benefits tend to cost Medicare significantly more in the near term.

Issue Brief: Drug Prices and the Emerging Majority: Should Government Negotiate Drug Prices?

Issue Brief 1: Drug Prices and the Emerging Majority: Should Government Negotiate Drug Prices? (272 kb PDF) by Gary A. Puckrein, PhD; Randall W. Maxey, MD, PhD; Rene Rodriguez, MD; and Peter R. Deutsch, JD Virtually lost in the discussion about drug prices is any recognition that the methods used to contain drug prices could undermine the health of the emerging majority of the US population.